| Angela M Abbott, SLP | |
| 79 N Plummer Rd, Star, ID 83669-5561 | |
| (208) 391-2773 | |
| Not Available | 
| Full Name | Angela M Abbott | 
|---|---|
| Gender | Female | 
| Speciality | Speech-language Pathologist | 
| Location | 79 N Plummer Rd, Star, Idaho | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1275170383 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SLP-2792 (Idaho) | Primary | 
| Provider Name | Idaho State University | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1952474777 PECOS PAC ID: 4688683030 Enrollment ID: O20060412000292 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Angela M Abbott, SLP 79 N Plummer Rd, Star, ID 83669-5561 Ph: (208) 391-2773 | Angela M Abbott, SLP 79 N Plummer Rd, Star, ID 83669-5561 Ph: (208) 391-2773 | 
| Jessica Myers, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12222 W Bridger Bay Dr, Star, ID 83669 Phone: 208-391-2773 | |
| Marian Therese Peloquin, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 10979 W Collina Vista Dr, Star, ID 83669 Phone: 805-390-8404 | |
| Kourtney Schaffner, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7485 Southern Vista Ct, Star, ID 83669 Phone: 208-608-4985 | |
| Paige Elizabeth Casey, M.S Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 11284 W Shortcreek Ct, Star, ID 83669 Phone: 714-932-0633 | |
| Andrea Snow, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12222 W Bridger Bay Dr, Star, ID 83669 Phone: 208-391-2773 Fax: 855-255-0774 | |
| James Everett Collings,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12222 W Bridger Bay Dr, Star, ID 83669 Phone: 208-391-2773 |